Comparison Of Spencer Technique And Isotonic Exercise In Patients With Adhesive Capsulitis

This study examines the efficacy of two forms of therapy for Adhesive Capsulitis, a condition characterized by stiffness, pain, and limited mobility in the shoulder joint. It is also commonly known as "Frozen Shoulder".

Study Overview

• Status: Active, not recruiting
• Conditions: Adhesive Capsulitis, Shoulder
• Intervention / Treatment: Combination product: The Spencer technique; Combination product: isotonic workouts

Detailed Description

Patients between the ages of 30 and 55 were randomly assigned to one of two groups for the trial held at the Saleem Free Hospital Okara and Dar-ul-Shifa Hospital. Group 2 engaged in isotonic exercises that emphasized concentric and eccentric motions of forward flexion and extension, whereas Group 1 was given the Spencer approach, which involved seven different movements. A goniometer and the Numeric Pain Rating Scale were used to measure the range of motion and pain. SPSS 20 was used to analyze the data and assess how well the treatments worked. The findings provided light on how well manual therapy and exercise compare in terms of reducing pain and increasing shoulder movement in people with adhesive capsulitis.

• Study Type: Interventional
• Enrollment (Actual): 64
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Okāra, Punjab, Pakistan
      • Dr. Saleem Memorial Free Hospital Address: College road, Depalpur Rd, adjacent baldia hall, Okara

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria

• Both genders aged 30-55 years
• Unilateral Adhesive Capsulitis
• Pain lasting for more than one month
• Capsular pattern of motion restriction
• Diabetic patients were included.

Exclusion Criteria

• Participants with rotator cuff tear
• Rheumatoid and gouty arthritis
• Tumors of the shoulder region
• Peripheral nerve injuries
• Shoulder girdle fracture and dislocation
• History of shoulder surgery were excluded.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Interventional group I	Combination product: The Spencer technique; The Spencer technique, which consists of seven different manual movements intended to increase shoulder mobility and lessen pain, was used to treat the participants in this group. The method seeks to improve blood flow, loosen up the shoulder joint and soft tissues, and reduce any tightness or impingement that is causing pain in the sub-acromial area. By re-establishing appropriate shoulder function and movement patterns, the Spencer approach is commonly used to treat disorders including adhesive capsulitis.
Experimental: Interventional group II	Combination product: isotonic workouts; This group's members engaged in isotonic workouts that emphasized forward flexion and extension motions. Both concentric (shortening the muscle) and eccentric (lengthening the muscle) motions were used in these exercises. These exercises were designed to increase shoulder range of motion and strengthen the rotator cuff muscles. People with Adhesive Capsulitis may have less pain and have better shoulder function if they perform isotonic workouts, which increase muscular strength and stability.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Numeric Pain Rating Scale	(NPRS) was used to measure the subjects' level of pain. This scale helps measure the amount of pain alleviation attained with each intervention by allowing participants to rank their discomfort from 0 (no pain) to 10 (worst possible pain).	12 Months
goniometer	A goniometer, which measures the angle of joint movement, was used to measure the shoulder's range of motion (ROM). Improvements in shoulder mobility, which is frequently limited in adhesive capsulitis, were assessed with the aid of this assessment.	12 Months

Collaborators and Investigators

• Sponsor: Superior University

Study record dates

Study Major Dates

• Study Start (Actual): February 15, 2024
• Primary Completion (Actual): May 25, 2024
• Study Completion (Estimated): March 2, 2025

Study Registration Dates

• First Submitted: December 26, 2024
• First Submitted That Met QC Criteria: January 2, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 2, 2025
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Joint Diseases; Bursitis
• Other Study ID Numbers: MSRSW/Batch-Fall22/771

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No